Name Registration - Ohio Secretary of State

Please return the approval certificate to:
Name:
To the attention of:
Address:
City:
State:
Phone Number:
(Individual or Business Name)
(If necessary)
ZIP Code:
E-mail Address:
Check here if you would like to receive important notices via e-mail from the Ohio Secretary of State's
office regarding Business Services.
Check here if you would like to be signed up for our Filing Notification System for the business entity
being created or updated by filing this form. This is a free service provided to notify you via e-mail when
any document is filed on your business record.
Type of Service Being Requested: (PLEASE CHECK ONE BOX BELOW)
Regular Service: Only the filing fee listed on page one of the form is required and the filing will be
processed in approximately 3-7 business days. The processing time may vary based on the volume of
filings received by our office.
Expedite Service 1: By including an Expedite fee of $100.00, in addition to the regular filing fee on page
one of the form, the filing will be processed within 2 business days after it is received by our office.
Expedite Service 2: By including an Expedite fee of $200.00, in addition to the regular filing fee on page
one of the form, the filing will be processed within 1 business day after it is received by our office.This service
is only available to walk-in customers who hand deliver the document to the Client Service Center.
Expedite Service 3: By including an Expedite fee of $300.00, in addition to the regular filing fee on page
one of the form, the filing will be processed within 4 hours after it is received by our office, if received by 1:00
p.m. This service is only available to walk-in customers who hand deliver the document to the Client Service Center.
Preclearance Filing: A filing form, to be submitted at a later date for processing, may be submitted to be
examined for the purpose of advising as to the acceptability of the proposed filing for a fee of $50.00. The
Preclearance will be complete within 1-2 business days.

CHECK ONLY ONE (1) Box
Trade Name
(167-RNO)
Date of first use:
MM/DD/YYYY
Name being Registered or Reported
Name of the Registrant
Form 534A
Form 534A Prescribed by:
JON HUSTED
Ohio Secretary of State
Central Ohio: (614) 466-3910
Toll Free: (877) SOS-FILE (767-3453)
www.OhioSecretaryofState.gov
Busserv@OhioSecretaryofState.gov
Name Registration
Filing Fee: $50
Fictitious Name
(169-NFO)
Note: If the registrant is a partnership, please provide the name of the partnership. Individual partner names are
not permitted but are required on page 2 of the form.
The Registrant is a(n): (Check only one (1) box)
Individual
General Partnership
Registration #, if any
Limited Partnership
Registration #
If Foreign, Jurisdiction of Formation
Limited Liability Partnership
Registration #
If Foreign, Jurisdiction of Formation
Limited Liability Company
Registration #
If Foreign, Jurisdiction of Formation
Page 1 of 2
Mail this form to one of the following:
Ohio Corporation
Charter #
Foreign Corporation
Ohio license #
Jurisdiction of Formation
Unincorporated Association
Professional Association
Charter #
Sole Proprietor
Other
Regular Filing (non expedite)
P.O. Box 670
Columbus, OH 43216
Expedite Filing (Two-business day processing
time requires an additional $100.00).
P.O. Box 1390
Columbus, OH 43216
Last Revised: 11/29/12

All registrants must complete the information in this section
The general nature of business conducted by the registrant:
Business address:
Mailing Address
City
Provide the name and address of at least one general partner:
By signing and submitting this form to the Ohio Secretary of State, the undersigned hereby certifies that he or she has the
requisite authority to execute this document.
Required
Application must be
signed by the registrant or
an authorized representative.
If authorized representative
is an individual, then they
must sign in the "signature"
box and print their name
in the "Print Name" box.
Form 534A
Name Address
Page 2 of 2
State
Zip Code
Complete the information in this section if registrant is a partnership NOT registered in Ohio pursuant to
ORC 1776, if partnership is registered, provide registration number on page one.
NOTE: Pursuant to OAG 89-081, if a general partner is a foreign corporation/limited liability company, it must be licensed to
transact business in Ohio; if a general partner is a foreign corporation/limited liability company licensed in Ohio under an
assumed name, please provide the assumed name and the name as registered in its jurisdiction of formation.
Signature
By (if applicable)
Print Name
If authorized representative is a business entity, not an individual, then please print the business name in the "signature"
box, an authorized representative of the business entity must sign in the "By" box and print their name in the "Print Name"
box.
Last Revised: 11/29/12

This form should be used to register a trade name or report the use of a fictitious name.
To register a trade name, please select box 1. Pursuant to Ohio Revised Code §1329.01(B)(4),
please provide the date on which the registrant first used the trade name, which must be prior to the
date of filing. Examples of "use" include opening a business account in the trade name, placing the
trade name on products, advertisements using the trade name or business cards and letterhead.
To report the use of a fictitious name, please select box 2. Pursuant to Ohio Revised Code §1329.01
(D), any person who does business under a fictitious name not registered as a trade name must report
the use of that name to the Secretary of State.
A trade name is a name used in business or trade to designate the business of the user and to which
the user asserts a right to exclusive use. A trade name must be distinguishable upon the record from
other previously registered business names. See our Name Availability Guide at
www.OhioSecretaryofState.gov, for more information regarding name requirements and restrictions.
A fictitious name is a name used in business or trade that the user has not registered as a trade name
or is not entitled to register as a trade name. Registration of a fictitious name does not give the user
any exclusive right to use the name.
Name Being Registered or Reported
State the trade name or fictitious name to be registered or reported. Pursuant to Ohio Revised Code
§1329.02 a trade name cannot indicate or imply that the registrant is incorporated unless the registrant
is incorporated. Specifically, only a corporation can file a trade name which includes entity words such
as: "company," "co.," "corporation," "corp.," incorporated," or "inc."
Registrant Information
Check the appropriate box to identify the type of entity registering the trade name or reporting the
fictitious name. Complete the appropriate information on the lines provided for the specific entity type.
If the entity is registered with our office, it must provide the charter/registration/license number. If the
entity is incorporated in another jurisdiction, list the jurisdiction of formation and Ohio charter/
registration/license number.
State the name of the registrant on the line provided. If the registrant is a foreign corporation licensed
in Ohio under an assumed name, the assumed name must be provided as well as the corporation's
name as registered in the jurisdiction of formation.
Provide the complete business address of the registrant.
Information if Registrant is a General Partnership
Pursuant to Ohio Revised Code § 1329.01(B)(1)(a), if the registrant is a general partnership, please
provide the registration number assigned to the partnership by our office. If the general partnership is
not registered in our office, please provide the name and address of at least one general partner.
Form 534A
Instructions for Name Registration
Last Revised: 11/29/12

Additional Provisions
If the information you wish to provide for the record does not fit on the form, please attach
additional provisions on a single-sided, 8 1/2 x 11 sheet(s) of paper.
Signature(s)
After completing all information on the filing form, please make sure that the form is signed by an
authorized representative.
**NOTE: Our office cannot file or record a document that contains a social security number or
tax identification number. Please do not enter a social security number or tax identification
number, in any format, on this form.
Form 534A
Last Revised: 11/29/12